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3417 Evanston Ave N Ste 322 Seattle WA 98103-8968 | |
| (425) 272-5585 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3417 Evanston Ave N Ste 322, Seattle, Washington |
| Authorized Official Name and Position | Brian Kimmel (OWNER/PROVIDER) |
| Authorized Official Contact | 4252725585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3417 Evanston Ave N Ste 322 Seattle WA 98103-8968 Ph: (425) 272-5585 | 3417 Evanston Ave N Ste 322 Seattle WA 98103-8968 Ph: (425) 272-5585 |
| NPI Number | 1295552875 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295552875 | NPI | - | NPPES |
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